RAND California Order Form--Capitol Enquiry Customers Only
Print this order form, then mail or fax to:
RAND California Subscriptions
Attention: Accounting
1776 Main Street
P.O. Box 2138
Santa Monica, CA 90407-2138
FAX: 310/451-7028
Faxed orders will be processed within one business day. Mail orders will be processed within one day of receipt.
All prices quoted are in U.S. dollars and are subject to change.
Number of Subscribers
| Number | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12-99 |
| Amount | $194 | $320 | $446 | $572 | $698 | $824 | $950 | $1076 | $1202 | $1260 | $1319 | Add $59 per subscriber |
SUBSCRIBER Name ______________________________________________
Additional subscriber
name(s):_______________________________________
Company name _________________________________________________
Mailing Address:_________________________________________________
Contact name ___________________________________________________
E-mail address (required)
___________________________________________
Street address __________________________________________________
City, State, ZIP
__________________________________________________
Country________________________________________________________
Day-time phone (_____)
____________________________________________
Fax number (_____)
_______________________________________________
Amount enclosed or to be billed: __________________
Bill by credit card.
(__) American Express (__) VISA (__) MasterCard
Credit card number _________________________________ Exp Date
________
CARDHOLDER NAME ___________________________________
Signature _______________________________________________________
(__) Check or money order payable to RAND California.
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California--Capitol Enquiry Customers Only
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